CORE Endorsement Application Process

Instructions

Entities that do not create, transmit, or use administrative healthcare transactions* can demonstrate their support for CAQH CORE’s mission and the CAQH CORE Operating Rules by signing the CORE Pledge, and applying for and using the CORE Endorser Seal. Entities seeking the CORE Endorser Seal should complete the following steps:

1. Obtain and review the Rules
   • Eligibility & Benefits Operating Rules
   • Claim Status Operating Rules
   • Payment & Remittance Operating Rules
   • Prior Authorization & Referrals Operating Rules
   • Health Care Claims Operating Rules
   • Benefit Enrollment Operating Rules
   • Premium Payment Operating Rules
2. Obtain and review the Certification Policy
   • CORE Certification Policy
3. Obtain, review and sign the Pledge
   • Eligibility & Benefits CORE Pledge
   • Claim Status CORE Pledge
   • Payment & Remittance CORE Pledge
   • Prior Authorization & Referrals CORE Pledge
   • Health Care Claims CORE Pledge
   • Benefit Enrollment CORE Pledge
   • Premium Payment CORE Pledge
4. Obtain and complete the Seal Application
   • CAQH CORE Seal Application
5. Submit the signed CORE Pledge with the completed CORE Seal Application to:
   
   CORE Endorser
   CAQH
   2020 K Street, NW 
   Suite 900
   Washington, DC 20006

 CORE Endorsement Terms and Conditions

• There is no fee required to apply for and use the Eligibility & Benefits, Claim Status, Payment & Remittance, Prior Authorization & Referrals, Health Care Claims, Benefit Enrollment, or Premium Payment CORE Endorser Seal.
• CORE will inform each CORE Endorser Seal applicant of its queue status at the time the application is received.
• Upon receiving a CORE Endorser Seal application from an entity, CORE will have a maximum of 20 business days to complete its assessment of the application and respond to the applicant with a clear response of approval or need for clarification.
• A final decision will be made by CORE in 30 business days, unless there are extenuating circumstances. If so, CORE will notify the applicant about the reason for the assessment extension.
• CORE will grant an organization its CORE Endorser Seal following the positive completion of the application review process.
• After receiving a CORE Endorser Seal, the entity may market itself as a CORE Endorser.
• Entities receiving the CORE Endorser Seal will be promoted in CORE marketing materials and on the CAQH website.

* Only entities that create, transmit or use the administrative transactions addressed by the CAQH CORE Operating Rules are eligible for CORE Certification. Such entities should refer to the CORE Certification: A Step-By-Step Process for more information about becoming CORE-certified.

Questions: Contact CAQH at (202) 517-0362 or core@caqh.org

CORE Endorsers

The list of organizations below endorse (or are pledged to endorse) CAQH CORE and the CAQH CORE Operating Rules. 

View pending and current CORE certifications by visiting the CORE-certified Organizations page. Only entities that use, create, or transmit the applicable transactions are eligible for CORE Certification. 

ORGANIZATION		RULE SETS
Accenture		Eligibility & Benefits  Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
American Academy of Family Physicians		Eligibility & Benefits Claim Status
American Association of Preferred Provider Organizations		Eligibility & Benefits
American College of Physicians		Eligibility & Benefits
American Health Information Management Association		Eligibility & Benefits
American Medical Association		Claim Status
Calpion		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
CalRHIO		Eligibility & Benefits
CamCare		Eligibility & Benefits
Center for Health Transformation		Eligibility & Benefits Claim Status
Claredi		Eligibility & Benefits
Cognizant		Eligibility & Benefits Claim Status
Cognosante		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
Edifecs, Inc.		Eligibility & Benefits
eHealth Initiative		Eligibility & Benefits
EHNAC		Eligibility & Benefits
emids Technologies		Eligibility & Benefits Claim Status Payment & Remittance
Enclarity, Inc.		Eligibility & Benefits
FISGlobal		Eligibility & Benefits Claim Status
Foresight Corporation		Eligibility & Benefits Claim Status
Greater New York Hospital Association		Eligibility & Benefits
Healthcare Financial Management Association		Eligibility & Benefits
Healthcare Information and Management Systems Society		Eligibility & Benefits
HIPAA QA, Inc.		Eligibility & Benefits Claim Status
IRIS Health Services		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
IRIS Technologies		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
Links2Success		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
Methodical		Eligibility & Benefits Claim Status
Medical Group Management Association		Eligibility & Benefits Claim Status
Medical Practice Software, Inc.		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
Michigan Public Health Institute		Eligibility & Benefits
Microsoft		Eligibility & Benefits
MultiPlan		Eligibility & Benefits
Musculoskeletal Imaging Consultants LLC		Eligibility & Benefits Claim Status
NACHA		Eligibility & Benefits Claim Status
Pillsbury Winthrop Shaw Pittman, LLP		Eligibility & Benefits
Qualedix		Eligibility & Benefits Claim Status
Smart Card Alliance		Eligibility & Benefits Claim Status
SCG Health		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
SunCoast RHIO		Eligibility & Benefits Claim Status Payment & Remittance Prior Authorization & Referrals Health Care Claims Benefit Enrollment Premium Payment
URAC		Eligibility & Benefits
Virtusa		Prior Authorization & Referrals
WEDI		Eligibility & Benefits
Data Dimensions		Eligibility & Benefits Claim Status